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Days
BS Description E
ICD
IOS BS
CPT
PACKAGE
Price
Center
0
DECADRON SHOCK PACK(R) Intra-Venus VIAL 20 mg/ml
700539
5.4
0
DECADRON(R) ORAL TABLET 0.5 mg 100 Tab
700540
547051470
0.32
0
DECAPEPTYL DEPOT NOVUM(R) Intra-Venus VIAL 3.75 mg
700541
810.15
0
DECOZAL(R) NASAL DROPS 0.05%
700542
4.05
0
DECOZAL(R) NASAL DROPS 0.1%
700543
4.4
0
DEFOSALIC TOPICAL LOTION 0.05 % + 2 % 1
700544
550063738
13.1
0
DELTACORTRIL(R) ORAL TABLET 5 mg
700545
547051420
0.28
0
DEPAKINE CHRONO SR ORAL TABLET 500 mg Tab
700546
545051802
0.95
0
DEPAKINE(R) Intra-Venus INJECTION 400 mg / 4 ml Vial
700547
545052808
60.94
0
DEPAKINE(R) ORAL SUSPENSION 57.64 MG / ML
700548
545052805
20.85
0
DEPAKINE(R) ORAL TABLET 200 mg
700549
545051800
0.54
0
DEPO MEDROL(R) Intra-Muscular Vial 40 mg/ml
700550
547054450
31.2
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